This is a how-to guide that supports the use and testing of four emerging care bundles to reduce opioid-related harm.

The bundles were developed as part of our 18-month-long safe use of opioids national ‘formative’ collaborate (more information about the collaborative is available here).

The four bundles are:

  1. uncontrolled pain emerging care bundle
  2. opioid-induced ventilatory impairment emerging care bundle 
  3. opioid-induced constipation emerging care bundle
  4. emerging composite care bundle to reduce opioid-induced related harm.

This guide is a work in progress and we anticipate publishing a second edition in April 2018. We welcome all feedback on this first edition. To provide comments, please email: info@hqsc.govt.nz.

Snapshot Webinar CP

Click here to listen to an extract from the webinar: a brief 3-minute insight by Carmela Petagna (Portfolio Manager overseeing the Medication Safety Programme at the Health Quality & Safety Commission). (7MB, MP4)

The guide (downloadable documents)

Below we have published:

  • the care bundles at a glance (an overview document)
  • the complete guide
  • each care bundle as a separate document with associated appendix and Excel data template
  • a link to a page with examples of resources developed during the collaborative by the health providers involved (links to each resource are in the guide where relevant)
  • the recording of the webinar, introducing the guide.

Overview
Safe use of opioids care bundles – at a glance                                                                                      (51 KB, pdf)   
The guide (complete)
How-to guide – Reducing opioid-related harm through the use of care bundles (full version) (2 MB, pdf)        
The guide (split into sections)
Introductory material (chapters 1–6) (550 KB, pdf)
Uncontrolled pain emerging care bundle (chapter 7) (342 KB, pdf)
Uncontrolled pain emerging care bundle data template (appendix 1) (99 KB, pdf) 
Uncontrolled pain Excel data collection template (appendix 1) (24 KB, xlsx)
Opioid-induced ventilatory impairment emerging care bundle (chapter 8) (357KB, pdf)
Opioid-induced ventilatory impairment emerging care bundle data template (appendix 2)        (255 KB, pdf)
Opioid-induced ventilatory impairment Excel data collection template (appendix 2) (24 KB, xlsx)
Opioid-induced constipation emerging care bundle (chapter 9) (609 KB, pdf)
Opioid-induced constipation emerging care bundle data template (appendix 3) (98 KB, pdf)
Opioid-induced constipation Excel data collection template (appendix 3) (24 KB, xlsx)
Emerging composite care bundle to reduce opioid-related harm (chapter 10) (799 KB, pdf)
Composite care bundle Excel data collection template (appendix 4) (29 KB, xlsx) 
Discharge prescribing (chapter 11) (100 KB, pdf)
Infrastructure strategy to achieve results (chapter 12) (17 KB, pdf)
Associated resources page
Examples of resources developed during the collaborative by health providers                          Link page         
Webinar recording

Webinar (recording) to introduce the how-to guide:                                                                     

(Please note, webinar starts at 0.33 seconds)

  1. Welcome and introductions (Alan Davis & Avril Lee)
  2. How to guide – overview (John Kristiansen & Prem Kumar)
  3. Opioids evaluation findings (Sarah Appleton, Synergia Ltd)
  4. Structure – bundles, resources, templates (Avril Lee)
  5. Using the guide (Avril Lee & Prem Kumar)
  6. Feedback Avril Lee
  7. Questions Avril Lee
  8. Closing Avril Lee
(41 MB, mp4)

Last updated 30/08/2018